Coder II

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Premier Orthopaedics

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2000

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Premier Orthopaedics is a regional orthopaedic medical group providing a full spectrum of bone, muscle, and joint care across more than 35 locations in the Greater Philadelphia region. The practice offers orthopaedic surgery, sports medicine, interventional pain management, physical therapy, MRI and imaging services, express ortho care, and patient resources such as online scheduling and educational content to help patients recover and return to activity.

📋 Description

• Accurately review medical records and assign ICD-10 and CPT codes in compliance with applicable policies and regulations • Manage patient demographics, clinical documentation, and billing data across practice management systems and hospital records • Ensure proper coding and reimbursement for scheduled and unscheduled surgical cases • Abstract data in compliance with national, regional, and local policies • Interpret and review medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes • Use the practice management system to account for demographics and services performed according to standard procedures and coding guidelines • Use individual hospital medical record systems and coordinate with physicians and staff to obtain clinical documents and demographics required for coding and billing • Provide education and support to clinical areas regarding appropriate documentation and coding of services • Maintain effective communication with providers concerning coding issues • Resolve coding edits or documentation discrepancies and escalate complex or uncertain cases • Collaborate with providers, Coding leadership, Authorization, Revenue Cycle, and other operational teams

🎯 Requirements

• High school diploma/GED or equivalent working knowledge preferred • Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC) • 3-5 years of professional medical coding experience preferred, preferably in a multi-specialty environment • Experience in orthopedics, surgery, pain management, spine, or other complex procedural coding preferred • Experience reviewing operative reports and clinical documentation • Experience assigning accurate CPT, ICD-10-CM, HCPCS, and modifiers • Experience resolving coding edits or documentation discrepancies • Experience with coding audits, payer guidelines, NCCI edits, and physician queries strongly preferred • Current professional coding certification such as CPC, CCS, COC, or equivalent preferred/required based on organizational standards • Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements • Proficiency interpreting complex operative reports and selecting codes based on documented procedures • Strong research, analytical, and problem-solving skills • Attention to detail and commitment to coding accuracy and compliance • Effective written and verbal communication skills • Ability to communicate coding concerns, request documentation clarification, and collaborate with providers and operational teams • Ability to work independently with limited supervision • Ability to manage a consistent coding workload while meeting productivity and accuracy expectations • Ability to escalate complex or uncertain cases appropriately • Ability to recognize documentation deficiencies and identify potential compliance concerns • Ability to research unfamiliar procedures and apply coding guidelines consistently • Ability to adapt to multiple specialties and changing payer requirements • Sound judgment, accountability, organization, critical thinking, and ability to prioritize competing demands • Equal Opportunity Employer

🏖️ Benefits

• Comprehensive benefits package including medical, dental, and vision plans • 100% employer-paid life insurance • 401(k) with employer match • Benefits begin the first of the month following hire date (for full-time employees) • Generous paid sick and vacation time • 7 paid holidays annually • Opportunities for growth and advancement • Employee referral reward program